MARK NICKELS (NPI# 1417990748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417990748 |
| Entity Type | Individual |
| Full Name | MARK NICKELS |
| Credential | MD |
| Practice Address |
300 Crittenden Blvd Rochester NY 14642-0001 |
| Practice Telephone | 5852756733 |
| Mailing Telephone | 5852756733 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
155328 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01639550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429840 | Mark Nickels | Social Worker | 96 South St, Ware, Ware, MA 01082-1616 | 2014-09-12 |
| 1679520837 | Mark W Nickels | Internal Medicine | 100 Ter Heun Drive, Falmouth Hospital, Falmouth, MA 02540 | 2006-05-30 |
| Street Address |
300 CRITTENDEN BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343667 | Aniko Fellegi | Internal Medicine | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2005-08-16 |
| 1063034817 | Ana Vallejo Vallejo Sefair | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14652-0001 | 2020-05-15 |
| 1962024679 | Allison Stiles | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-7106 | 2020-05-15 |
| 1518589761 | Dillon Jay Auvenshine | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14604 | 2020-05-11 |
| 1730701939 | Caitlin E Titus | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2020-05-11 |
| 1285256594 | Taylor Marie Maclean | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2020-05-08 |
| 1356963672 | Qiana Smith | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2020-05-08 |
| 1659993038 | Teigan Estelle Ruster | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2020-05-08 |
| 1336760974 | Kassandra Scioli | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2020-05-06 |
| 1679194146 | Leah Reece | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083243182 | Blake Novy | Psychiatry & Neurology | 200 1st St Sw Dept Of, Rochester, MN 55905-0001 | 2020-04-02 |
| 1700319456 | Kristin Nguyen | Psychiatry & Neurology | 1301 W Center St, Rochester, MN 55902-0333 | 2017-04-10 |
| 1356728562 | Scott Breitinger | Psychiatry & Neurology | 200 1st Sw, Rochester, MN 55905-0001 | 2015-04-27 |
| 1841589512 | Allison L Giordano | Psychiatry & Neurology | 140 Allens Creek Rd Ste 200, Rochester, NY 14618-3307 | 2011-04-04 |
| 1659606499 | Robert Mark Morse | Psychiatry & Neurology | 1735 Hiawatha Ct Ne, Rochester, MN 55906-8014 | 2009-10-13 |
| 1831362078 | Teresa Mary Foley | Psychiatry & Neurology | 3900 55th St Nw, Rochester, MN 55901-0119 | 2008-04-09 |
| 1942406772 | Russell M Cain | Psychiatry & Neurology | 202 Roosevelt Rd, Rochester, NY 14618-2937 | 2007-06-27 |
| 1316152424 | Clifford Jacobson | Psychiatry & Neurology | 291 W Squire Dr Apt 5, Rochester, NY 14623-1740 | 2007-05-11 |
| 1366563363 | Rae Bernadette Insalaco | Psychiatry & Neurology | 2613 W. Henrietta Rd., Strong Ties, Rochester, NY 14623-2327 | 2007-04-03 |
| 1609929421 | Janet Gray Warner | Psychiatry & Neurology | 1101 W. University Dr, Rochester, MI 48307-1831 | 2007-01-18 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.